Eugene A. Pantera Jr., DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

031851 Issued in NY

Practice address

3435 Main St.
240 Squire Hall
Buffalo, NY 14214-3008

Phone

(716) 829-3847

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780774240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST.",
            "address_2": "240 SQUIRE HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143008",
            "telephone_number": "716-829-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST.",
            "address_2": "240 SQUIRE HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143008",
            "telephone_number": "716-829-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTERA",
        "first_name": "EUGENE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "031851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandip Panesar, MD
• Siblea Fay Pangallo, RPA-C
• Jennifer Pangelinan, RN
• Erik Michael Panna, LMFT
• Laura Pantano
• Dane Raymond Panzarella
• Jessica Marie Panzarella
• Gabrielle R Paoletti, MD
• Jamie M. Paolini, LCSW
• Michael Paolini

• Endodontics in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.